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Netsmart's term for an electronic health record, which handles billing, scheduling and clinical workflows. The CareRecord strengthens the care delivery process across all levels of care.
An electronic health record that handles billing, scheduling and clinical workflow.
Billing tool that offers solutions for management of patient access, claims, reimbursement, audits, etc. for medical practices.
Billing tool that offers solutions for management of patient access, claims, reimbursement, audits, etc. for medical practices.
Clinic Essentials is a leading clinic management solution designed with a comprehensive menu of features so that you can manage and enhance every aspect of your clinic. Our easy-to-use features and intuitive interface simplify your daily tasks, such as scheduling, invoicing, reporting, and managing inventory.
A clinic management solution designed with a comprehensive menu of features so that you can manage every aspect of your clinic.
Software for medical offices and healthcare practices with one or more providers. Functionality includes specialized claim submissions.
Software for medical offices and healthcare practices with one or more providers. Functionality includes specialized claim submissions.
The IMO Medical Necessity solution enables clinicians to begin early in the process and employ automatic checks on each clinical order to reconcile if the ICD-9-CM or ICD-10-CM coded diagnosis justifies the CPT or HCPCS-coded order. If the documented diagnosis does not adequately support the patient's care, the solution warns the clinician to reassess accuracy or print an Advance Beneficiary Notice. The IMO Medical Necessity solution can also link to the specific CMS document if needed.
Technology that helps medical billers and clinicians correctly code for clinical orders and appropriate procedures for each diagnosis.
Der Medical-Billing-Service von MTBC wird deine medizinischen Abrechnungssammlungen beschleunigen und deine Arbeitsabläufe optimieren, sodass deine Mitarbeiter sich besser auf die Patientenversorgung konzentrieren können. Mit einer Regel-Engine, die die Einreichung deiner Ansprüche aufhebt, Praxis-Management-Tools zur Überwachung von Ablehnungen und Unterzahlungen sowie ein Netzwerk von Support-Vertretern während des gesamten medizinischen Abrechnungsprozesses bietet, kannst du mit erhöhten Sammlungen und weniger Ablehnungen rechnen.
Der Medical-Billing-Service wird deine medizinischen Abrechnungssammlungen beschleunigen und deinen Arbeitsablauf optimieren.
HDMS is a complete patient management system providing all the necessary operational functionality required for home health care providers. Estimates and the customer service intake processes start the patient care process using a strong built in workflow engine through the entire delivery and billing cycle. Optional integrations from HDMS Mobile allow for real-time connectivity with smart devices directly into the HDMS database and application for employees on the go.
Our billing management system encompasses a wide range of tools, from Customer Service to an A/R Manager.
Modern and versatile medical billing software for healthcare providers, small, medium, large clinics and professional billing companies. MedOffice is feature-rich yet inexpensive and has low cost of ownership.
MedOffice is built with solid technology using .NET programming, MS SQL Server 2014 Database Engine, and Crystal Reports.
Modern and versatile medical billing software for professional billing companies.
MedSuite, an abeo Technology Solution, delivers quality and compliant solutions aimed at the business of anesthesiology. We pride ourselves with the ability to vastly improve the financial and operational performance of private practices, hospitals and ASC clients. MedSuite is the most widely used anesthesia billing and practice management software in the U.S. among anesthesiologists, CRNAs, AAs and anesthesia business professionals.
Web-based anesthesia medical billing solution that is improving the way anesthesiologists and surgery centers process their billing.
About Bonafide Management Systems
Bonafide Management Systems provides a complete billing service and software solution for DME businesses and medical practices.
Bonafide delivers a combination of billing expertise, and easy-to-use proprietary software. Our software is included with our billing service, because we know that the best way to make sure you get every dollar you deserve is to maximize your performance through technology.
Cloud-based platform that allows healthcare providers to streamline workflow processes with billing, patient portal, and more.
Medical-Billing-App für kanadische Ärzte zur Verwaltung ihrer MSP, OHIP und Alberta Health Billing. Verfügbar auf iOS, Android und im Web.
Fast and focused billing, coding, scheduling, & credentialing exclusively for hospitalists, Claimocity is AI-enhanced mobile practice management and revenue cycle software that blends time-saving smart automation tools with 24/7 concierge-level support and end-to-end industry-best billing metrics. Key features include: Smart Census, EHR, Accelerated Mobile Charge Capture, Claim Tracker, Code Assist, Proprietary Rules Engine, and Practice IQ Reporting.
The First and Only Practice Management Software Exclusively for Hospitalists. Save 10+ Hours/Week and Drive Relentless Revenue Growth!
Clarus RCM caters to providers throughout the healthcare industry.
Clarus RCM caters to providers throughout the healthcare industry.
EBS is a management solution provider for medical practitioners which streamlines the workflow. Its comprehensive modules and automation effectively addresses all the vital processes. Its single point of administration and working integrates all the major processes like patient Charting, Billing, Prescription writing, Scheduling, Scanning and Imaging, Support for Speciality EMR suites and word processing. Software packages starting at $995.00!! Ask us about our subscription program!
Management solution that integrates all the major processes like charting, billing, prescribing, scheduling, scanning, and imaging.
ClinixPM is cloud-based practice management software for physician practices and billing companies backed by outstanding U.S.-based support. It thrives in multi-specialty, multi-office systems, offering unparalleled customization options and service when you need it. Intuitive scheduling, accessible patient portal, tailored reporting, automated remittance, real-time insurance eligibility checking, and electronic claim filing are just a few of its efficiency and cash flow-boosting features.
Cloud-based practice management tool that helps physician practices and revenue cycle management firms improve billing processes.
Prodata provides medical billing services and practice management solutions designed for healthcare providers to manage their practice's administrative and billing responsibilities. Unique to the healthcare information systems industry, Prodata offers a true web-based system with extensive back-end services that empowers medical practices to improve practice revenue. Includes offloaded claim and statement processing, comprehensive reporting, and accounting management.
Subscription-based patient relationship management solution with accounting management, offloaded claim and statement processing.
Web-based electronic medical records solution that enables physicians to record patient encounters and test interpretations quickly.
Web-based electronic medical records solution that enables physicians to record patient encounters and test interpretations quickly.
Claritee's Health Care Practice Enhancement services can convert your data into valuable information that enables you to gain control, increase efficiency and improve your reimbursements. Our Payment Audit service evaluates the accuracy of payer reimbursements. By comparing the provider's actual payments received against the payer's contractual fee schedules, Claritee can pinpoint underpayments down to the billing line item and file the appeal with the payer.
Preconfigured, customizable datawarehouse platform or healthcare utilizing Microsoft SQL Server, Analysis Services, and Excel.
Medical Billing Assistant (MBA) is a medical billing and practice management software package. MBA provides an extensive range of features including electronic billing, scheduling, advanced accounts receivable management, and real time reporting capabilities. Designed with user needs in mind, MBA can enhance your office billing, collecting and scheduling productivity. Our cost efficient approach makes MBA the perfect choice. It's not what you bill, it's what you collect.
Windows based medical billing and practice management software that includes scheduling, accounting, and real time reporting.
VisiClaim is an easy-to-use, yet affordable medical billing software that's been designed to get you up and running in no time - just download, install and you're on your way! VisiClaim makes data entry simple and intuitive through an on-screen CMS-1500 form. HIPAA compliant claims are sent electronically through VisiClaim's secure web service, and are "pre-edited" so you'll always send clean claims. Claims can also be printed, and secondaries can be billed and patient statements can be printed.
Practice management and billing solution that enables you to improve your cash flow and office efficiency.
Numerous reporting options and electronic claims processing to meet the needs of any practice.
Numerous reporting options and electronic claims processing to meet the needs of any practice.
Medical necessity denials cost providers thousands to millions of dollars every year in write-offs, plus costly staff time researching and appealing denials and responding to patient concerns. With ABN Assistant, staff can validate medical necessity, print Medicare-compliant ABNs with estimated cost, and stop over 90% of medical necessity denials.
Allows providers to minimize medical claim denials by getting a signed ABN form.
Modular electronic medical records (EMR) software with integrated medical billing system for small and medium sized physician groups.
Modular electronic medical records (EMR) software with integrated medical billing system for small and medium sized physician groups.
Visual Private Office provides your agency with a completely integrated software solution for all of your needs and is your gateway to scheduling appointments, documenting clinical services, client data management, claims management, insurance and accounting integration. Our products are designed to make you work more efficiently by assisting you with managing integrated systems of care and maximize your revenue (private pay, insurance agencies, and other third party payers).
Software that provides accounting integration, client billing, clinical records, scheduling, medication, and claims management tools.
Amber Clinic Manager is a robust, full-featured medical office billing and management package accessible to physicians and their staff from virtually any internet-connected computer. Featuring simple, easy to use, patient billing, statements and reporting; you'll have access to the information you need, when you need it, where you need it.
Online practice management featuring secure scheduling, reporting and automated electronic claims and remittance.
Medical office billing, inventory and scheduling software designed to fill insurance claims electronically, produce patient statements, and more.
Medical office billing and scheduling software designed to fill insurance claims electronically, produce patient statements, and more.
Praxismanagement- und Abrechnungssoftware, die elektronische Anspruchsabwicklung und elektronischen Zahlungsabgleich umfasst.
Praxismanagement- und Abrechnungssoftware, die elektronische Anspruchsabwicklung und elektronischen Zahlungsabgleich umfasst.
CLIN1 Web Portal for Patients: Patient Registrations, Insurance information, History, Current problems appointment scheduling, requests, medications, patient reminders for appointments, reminder for follow ups and medication alerts. Appointment alerts through portal emails and text message. New service offerings or practice announcements. Health and Medication alerts for follow up.
Patient Statments and Bill Pay options.
Makes patient healthcare information available in a flexible manner without tying up man-power for filing and retrieving.
Medical billing software for physicians and health care clinics in British Columbia, Canada. Direct insurance billing of provincial and extended health insurance plans: MSP, WorkSafeBC, ICBC, Great West Life, Sun Life Financial, Manulife and others. Patients invoicing. Custom simplified functionality based on specialty: acupuncturists, registered massage therapists, physiotherapists, chiropractors, optometrists, midwives, family doctors, surgical assistants,anesthesiologist, psychiatrists, etc,
Medical billing software with integrated direct insurance billing of public and private insurance plans for GPs and clinics in BC.
Medical practice management and billing solution with optional automated bad debts / collection agency tracking functionality.
Medical practice management and billing solution with optional automated bad debts / collection agency tracking functionality.
A complete billing solution with comprehensive medical records implementation, contact management, scheduling and report functions.
A complete billing solution with comprehensive medical records implementation, contact management, scheduling and report functions.
Billworx Medical Billing Systems is dedicated to providing the most comprehensive medical billing solutions available for Billing Services, Medical Practices & Hospitals and Collection Agencies. Our billing system spans all aspects of the billing process and provides untold options for customization to your specific needs.
Automated billing package to manage a single practice or a national billing service.
A comprehensive claims management solution that helps hospitals increase their claims accuracy.
A comprehensive claims management solution that helps hospitals increase their claims accuracy.
A web based solution for generating medical claims complying with the HIPAA transaction and code set standards.
A web based solution for generating medical claims complying with the HIPAA transaction and code set standards.
ClaimAction can automate your entire claims process, all the way to the creation of claim records in your back-end data systems--in a HIPAA-compliant 837 data format.
ClaimAction medical claims processing software provides pre-configured workflows with embedded intelligence for data extraction and validation to eliminate manual claims document handling and data entry.
ClaimAction automatically captures data field from HCFA-1500/CMS-500 medical claim forms for accurate processing with no data entry.
F1RSTAnesthesia is a comprehensive billing solution for anesthesia practices, designed to meet the needs of today's anesthesia practitioners while making the best use of Oracle technology. Save time with automatic CPT surgical and ASA coding as well efficient workflow and internal quality edit checks, freeing you to focus on delivering outstanding customer service. F1RSTAnesthesia allows for a variety to interface options and data access platforms, incorporating years of practical experience.
F1RSTAnesthesia offers a complete billing and accounts receivable solution for anesthesia practices.
Converts paper forms into an electronic file, matching the output with billing files, then generating a post ready payment file.
Converts paper forms into an electronic file, matching the output with billing files, then generating a post ready payment file.
Automated, real time verification of the critical fields of a patient's insurance eligibility data.
Automated, real time verification of the critical fields of a patient's insurance eligibility data.
Web based collection & follow up application designed to maximize cash conversion from payers by 3-5% in a 90 day timeframe.
Web based collection & follow up application designed to maximize cash conversion from payers by 3-5% in a 90 day timeframe.
Billing, reporting and document management for anesthesiologists.
Billing, reporting and document management for anesthesiologists.
Our Hosted PAR Billing program has been written for Windows with the added convenience of hosted on the Medinet server it can be accessed from Mac's.
Additional benefits of Hosted PAR Billing include:
Remote access to your billing program from any location
Guaranteed, restorable backup
Automatic updates of Fee Schedules and BC Doctors
Lower annual license fee
Accurate Clinical, Statistical and Financial Reports
Imports from several Hospital Scheduling Programs
Medical billing solution that helps businesses manage payment reconciliation, invoices, accounts receivables, and more.
837Direct currently supports Institutional and Professional 837 transactions. The Institutional 837 transaction (837i) is a reflection of the paper UB-04 and the Professional 837 transaction (837p) is a reflection of the paper CMS-1500.The current version of the 837 transactions is 5010 with the former being 4010A1. 837Direct is capable of handling import/export of your claim data in either version. In addition, it includes over 7,000 built-in business rules to catch claim errors.
Software application for healthcare providers designed to bill and create HIPAA compliant medical claims.
Eine Lösung, die Buchhaltungsberichte, Prüfpfade, elektronische CMN-Übertragung und Clearinghouse-Funktionen umfasst.
Eine Lösung, die Buchhaltungsberichte, Prüfpfade, elektronische CMN-Übertragung und Clearinghouse-Funktionen umfasst.
Cloud-based medical billing platform that includes account management, real-time error checking, patient scheduling, claims processing.
Cloud-based medical billing platform that includes account management, real-time error checking, patient scheduling, claims processing.
A medical billing solution that assists with digital signatures, remittance, attendance tracking, claims processing, and more.
A medical billing solution that assists with digital signatures, remittance, attendance tracking, claims processing, and more.
Billing and claims management system with accounts receivables management and payment processing for anatomic pathology laboratories.
Billing and claims management system with accounts receivables management and payment processing for anatomic pathology laboratories.
Powerful functionality for all types of specialties, Pro Health Billing will maximize your reimbursements by processing your claims accurately, a medical practice management software that increases insurance collections.
Claim Scrubbing
No-Show Tracking
Track Claim Status
Revenue Cycle Management
e-prescribing - Increase In Revenue
Appointment Reminder - 20% Drop in No-Shows
Streamline Reports and Graphs
CMS-1500 and UB-04
Patient Scheduling
ICD-10 Ready
Patient scheduling, medical billing and claims processing solution for all medical specialities.
GET PAID MORE. AND FASTER.
Our Essential medical billing and collection service tracks, measures and collects more of the money youre owed in less time than you thought possible, so you can see more patients and less paper work. Let our experts take the pain out of getting paid. We've been successfully growing our clients' revenue since 1981.
We increase physicians' revenue and improve their operational efficiency, enabling them to focus on patients, not paperwork.
Der Flash Code mit ICD-10 Smart Search bietet rund um die Uhr einen Online-Zugang zu den kompletten ICD-9- und ICD-10-Kodiersystemen. Suchen nach ICD-9- und/oder ICD-10-Codes, Anzeige der Beziehungen (Mapping) zwischen den beiden Kodierungssystemen, Bestimmung der Sequenzierung und Durchführen eines Drilldowns zu bestimmten abrechenbaren Diagnosecodes. Die Ergebnisse der Flash-Code-Suche sind „Code-zentrisch“, d. h. der Benutzer sieht bei jeder Suche die Codenummern und Beschreibungen, die den Endpunkt für den Workflow darstellen.
Der Flash Code mit ICD-10 Smart Search bietet rund um die Uhr einen Online-Zugang zu den kompletten ICD-9- und ICD-10-Kodiersystemen.
Improves collections, simplifies billing processes and provides unprecedented productivity monitoring. Our medical billing software allows you to automate and customize your RCM billing workflow for boosted reimbursements and measurable results in staff efficiency.
Improves cash flow, simplifies processes and provides unprecedented real-time productivity monitoring by streamlining the workflow
SydaMED is modern, powerful, feature-rich & inexpensive medical billing software. SydaMED Medical billing and practice management software comes with accounting system, document scanning, and appointment scheduling. Let go of the past... The future of medical billing software is here!
SydaMED is Comprehensive & Multi-Platform! SydaMED handles the CMS-1500 and CMS-1450 (UB) as well as ERAs. It has multiple modules that can be easily integrated within.
Medical billing and practice management software that comes with accounting system, document scanning, and appointment scheduling.
Medical billing solution that helps businesses with reporting, analysis, electronic health records, practice management and more.
Medical billing solution that helps businesses with reporting, analysis, electronic health records, practice management and more.
Analyze and understand payer remits, organize and intelligently work denial issues and optimize workflows to manage overall results.
Analyze and understand payer remits, organize and intelligently work denial issues and optimize workflows to manage overall results.
theBillingBridge by BillingParadise - an app for physicians, office managers, Hospital CFOs or anyone else in the Healthcare Organization to know their revenue Performance. It has great features like Reimburse Velocity, Top Payers, Top Denials, Live Claims Status etc..,At a glance this can tell you the Top CPTs, Units billed, Total Billed, and Key Insights of your healthcare Organization. This is so convenient to have when meeting with insurance representatives for the purpose of re-negotiating.
EMR integrated Medical Billing Reporting and Revenue Analytics App.Track Your Billing Firm & Know Your Hospital's Revenue Insights..
Corral has all of the tools you need to improve and shorten the revenue cycle
Corral has all of the tools you need to improve and shorten the revenue cycle
MDBilling.ca provides fast, accurate, and reliable medical billing software and services for Ontario physicians. Our platform offers a web-based OHIP billing software that is easy to use while accessible from any computer with internet access. Our Billing Agent Services offers a unique system that helps physicians save time, while earning more.
Cloud-based solution that helps physicians manage billing operations, track payment cycles, monitor revenues and generate reports.
Web based OHIP billing application that can access claims from any computer to automate billing, scheduling, and workflow.
Web based OHIP billing application that can access claims from any computer to automate billing, scheduling, and workflow.
PMS Insight is a cloud based medical billing software built to streamline everything from scheduling to reporting and is easy to access from anywhere.
Cloud-based Medical Billing software offering security, accessibility, and ease of access from anywhere.
Noble*Direct billing and claims management Software system streamlines the overall billing process and makes it manageable.
Noble*Direct billing and claims management Software system streamlines the overall billing process and makes it manageable.
Medizinisches Abrechnungs- und Büro-Management-System inklusive der Verarbeitung von Versicherungsansprüchen.
Medizinisches Abrechnungs- und Büro-Management-System inklusive der Verarbeitung von Versicherungsansprüchen.
eClaimStatus is the work of technologists with 20+ years of experience in the medical billing Services. We understand the challenges for patients, front desk personnel, Practitioners and Billing Companies when it comes to eligibility benefit verification and claim status.
We wanted to eliminate the tedium and frustration for all thats how eClaimStatus came to be born. Single login to 700+ payers across the nation.
Insurance Eligibility Verification Software : Single Login to 700+ Insurances - 15 Day FREE Trial
Payment processing platform that enables users to manage eBills, payment plans, patient financing, staff payment, and more.
Payment processing platform that enables users to manage eBills, payment plans, patient financing, staff payment, and more.
A SaaS-based denial management system that provides reporting, workflow, appeals and contract performance analysis.
A SaaS-based denial management system that provides reporting, workflow, appeals and contract performance analysis.
Provides addiction treatment and behavioral health providers with cutting edge claims billing software.
Provides addiction treatment and behavioral health providers with cutting edge claims billing software.
An OHIP medical billing solution, allowing Ontario doctors to bill from their phone, with billing agent support.
An OHIP medical billing solution, allowing Ontario doctors to bill from their phone, with billing agent support.
HIPAA compliant automated medical billing system with an integrated dashboard to handle customer disputes and payments easily.
HIPAA compliant automated medical billing system with an integrated dashboard to handle customer disputes and payments easily.
Medical practice management software that assists in increased productivity and cash flow for medium to large sized practices. Our Doctor's Office Control System on IBMi is a solution for anesthesiology and radiology as well as most other specialties. Medical billing service businesses are also able to take advantage of the system's flexibility and "industrial strength" processing capabilities..
Medical practice management software on IBMi that assists in increased productivity and cash flow for medium to large sized practices.
For over two decades Conexia has been partnering with clients to create seamless solutions. Our consulting services and customized platforms connect all stakeholders in the healthcare industry effectively. Our specialty is to serve workers compensation companies, private and state owned healthcare services companies with the most advanced tools in the market. Conexia's creative solutions ensure a ROI of 3:1 for claim processing, medical billing, prior authorization and more.
Healthcare and workers'comp services & tools that accelerate administrative tasks, decrease RTW rates and reduce medical costs.
P3 Healthcare Solutions delivers and comes up to expectations of physicians and specialists looking for a hiccup-free medical billing company.
P3 Healthcare Solutions delivers and comes up to expectations of physicians and specialists looking for a hiccup-free medical billing.
Web-based A/R application that helps the medical industry streamline patient billing through live chat, multiple payment plans & more.
Web-based A/R application that helps the medical industry streamline patient billing through live chat, multiple payment plans & more.
ClaimBook is a Revenue Cycle Management (RCM) solution, built to enable effective hospital insurance claims management. ClaimBook integrates with Hospital Information Systems (HIS) and billing systems of healthcare providers and brings in all TPA communications to a single platform with a proprietary intelligent email parsing technology. ClaimBook, thus, comes with the promise of a stress-free insurance desk, improved TPA accountability, reduced revenue leakage, and positive patient experience.
ClaimBook helps hospitals by accelerating the overall discharge process of insured patients, enhances Hospital revenue collection.
The medical billing program follows regulations as well as guidelines of CMS, LMPR and HIPAA.
Maintains providers' ids, tax id, and network status with the insurance company.
View history, resubmit claims, monitor payment and create follow up dates.
Creating and managing authorization.
Electronic submission of primary and secondary claims.
Generating outstanding reports to be used as discussion material for the next office meeting.
Billing
Windows based patient management and billing operation system.
TELCOR Revenue Cycle Services (TRCS) is a billing service for labs of all types and sizes. TRCS offers unmatched control and transparency allowing labs to gain efficiencies and a understanding of its data. TELCOR billing service is flexible to meet virtually every payer requirement giving labs peace of mind that claims will be compliant. With TRCS, billing managers and lab executives have exceptional visibility to all metrics. From daily billing status to monthly profitability analysis to yearly
Created to manage the unique challenges of laboratory billing, TELCOR Revenue Cycle Services is a billing service with unmatched contro
Altruis serves providers with innovative revenue-cycle management (RCM) technologies and services that deliver on the promise of healthier revenueenabling our clients to remain focused and expand on their mission of patient care. As a leading medical billing service, Altruis manages all aspects of billing, claims, denials, AR management, and payment posting. As a true RCM partner, Altruis develops technologies that enhance reimbursement.
A comprehensive revenue cycle management system that focuses on delivering healthier revenue through all aspects of medical billing.
PaymentAccelertor from ClearGage accelerates the patient payment process from beginning to end. Improve revenue cycle management with streamlined payment workflows, save admin time, reduce statement cost, and increase patient engagement, flow, and collections. Our revenue-accelerating capabilities include estimates and eligibility, auto pay on patient responsibility balances, zero-maintenance payment plans, mobile payments, patient financing, and patient payment portal.
PaymentAccelerator from ClearGage is the leading provider in Saas-based healthcare payment solutions and financial services.
Cloud based Medical Billing, Denial and Accounts Receivable Management software automates analytics and workflow management activities.
Cloud based Medical Billing, Denial and Accounts Receivable Management software automates analytics and workflow management activities.
Helps increase patient payments and reduce costs with seamless integration.
Helps increase patient payments and reduce costs with seamless integration.
Ramp up coding accuracy and boost your bottom line by using the same billing and coding intelligence platform the payors use. iVECoder is PCG's Virtual Examiner (VE) claims review engine. This advanced rules based engine with 45 million edits is used by healthcare payors throughout the USA and abroad. VE tells payors what to deny or pend for review. KNOW what the payors know... USE what the payors use... THINK like a payor!
Code search and medical billing software that uses the same billing and coding intelligence platform the payors use.
Modern cloud-based medical billing software, providing you secure, easy and everywhere access to your practice.
Modern cloud-based medical billing software, providing you secure, easy and everywhere access to your practice.
RCxRules maximizes reimbursement and coder productivity in both value-based and fee-for-service contracts. In value-based care contracts, the HCC coding software improves RAF score accuracy through improved HCC coding capture. In the fee-for-service world, the Revenue Cycle Rules detect and auto-correct billing/coding errors before a claim is created. Checking each charge against industry standard rules and custom-built rules.
RCxRules maximizes reimbursement and coder productivity in value-based and fee-for-service contracts.
FDS MedBill is the comprehensive medical billing solution that empowers your pharmacy to offer (and get reimbursed for) patient care services. Bill any insurance type for services including immunizations, supplies and medical equipment, diabetes programs, medical nutrition therapy, and diagnostic testing. Plus, get instant insurance approval with electronic eligibility verification.
FDS MedBill is a comprehensive medical billing solution designed for pharmacies that optimizes reimbursement for medical services.
GreenSense Billing software, fully integrated and combined with financial planning, claims management and reporting mechanisms, makes your practice more simplified and easier than you could have ever imagined.
The Perfect Medical Billing Software from Top Medical Billing Software Companies, to optimize your practice income.
Healthcare patient billing cloud platform for private practitioners, medical groups & hospitals that streamlines patient payments.
Healthcare patient billing cloud platform for private practitioners, medical groups & hospitals that streamlines patient payments.
Medical billing solution that helps users with medical billing, claims processing, claims scrubbing, and more.
Medical billing solution that helps users with medical billing, claims processing, claims scrubbing, and more.
Billing management tool that helps businesses with estimates, compliance tracking, practice management, and more.
Billing management tool that helps businesses with estimates, compliance tracking, practice management, and more.
Cloud-base, Private Practice Medical Software. Suitable for all specialities, completely mobile optimised, Features include, eBilling, Word Processing, SMS, Diary, Multi-Practice option, Medico-Legal compatible, option to take card payments from within the MidexPRO Fully integrated with Xero for ease with Tax. GDPR compliant to ICO standards, DSP Toolkit: standards met. Cyber Essentials assured. For a free demo and trial of the system call 0330 999 3399 or email [email protected]
The definitive Medical Software which will provide you all you need to run your private practice. Fully GDPR compliant.
Practice management software designed for ABA providers. Can handle your scheduling, billing, payroll and accounts receivable.
Practice management software designed for ABA providers. Can handle your scheduling, billing, payroll and accounts receivable.
Arzt-Abrechnungssoftware: Kaufleitfaden
Inhaltsverzeichnis
Was ist Arzt-Abrechnungssoftware?
Arzt-Abrechnungssoftware unterstützt Einrichtungen des Gesundheitswesens bei der Patientenabrechnung und Rechnungserstellung. Die Software hilft den Nutzern, abrechnungsrelevante Arbeitsabläufe zu vereinfachen, Konten zu verwalten, Patienten medizinische Leistungen in Rechnung zu stellen, Ansprüche zu kodieren, den Versicherungsschutz zu überprüfen und Versicherungsansprüche zu bearbeiten, Zahlungen zu akzeptieren, Finanzberichte zu erstellen und demographische Daten der Patienten wie Kontakt- und Versicherungsinformationen zu verfolgen.
Vorteile einer Arzt-Abrechnungssoftware
- Reduzierung von Abrechnungsfehlern: Die medizinische Abrechnung umfasst eine Vielzahl von Behandlungscodes und medizinischen Terminologien, die vom medizinischen Personal, dem allgemeinen Personal und den Buchhaltern korrekt verwendet werden müssen. Ein einziger Fehler oder falsche Angaben in einer Rechnung können zu einer Ablehnung des Anspruchs für einen Patienten und zu einem rechtlichen Problem für eine Praxis führen. Arzt-Abrechnungssoftware liefert vollständige Details für jeden eingegebenen Code zusammen mit den mit der Behandlung verbundenen Kosten, sodass die Praxen sicherstellen können, dass die Abrechnung und die Kodierung korrekt sind.
- Reduzierung der administrativen Aufgaben: Mit der richtigen Arzt-Abrechnungssoftware können Ärzte und ihr Personal durch optimierte Arbeitsabläufe die Zeit für administrative Schreibarbeit reduzieren und mehr Zeit für die Betreuung der Patienten aufwenden. Dies ist besonders für kleinere Praxen relevant, die nicht genügend Personal haben, um sowohl die administrative Arbeit als auch die Patientenversorgung zu bewältigen.
- Einhaltung aller Vorschriften: Das Gesundheitswesen ist eine sich ständig verändernde Branche, und auch die Vorschriften und Compliance-Anforderungen ändern sich fortlaufend. Mit Arzt-Abrechnungssoftware können die Praxen auf dem neuesten Stand der Vorschriften bleiben und die Protokolle der Versicherungsgesellschaften bei der Einreichung von Anträgen auf Genehmigung einhalten.
Typische Funktionen von Arzt-Abrechnungssoftware
- Zahlungsabwicklung: Erfassung und Aufzeichnung der Zahlungen, die du von Patienten oder deinen Versicherern für medizinische Behandlungen und Dienstleistungen erhalten hast.
- Rechnungshistorie: Erstellung und Pflege einer organisierten Aufzeichnung aller Rechnungen und detaillierte Anzeige des Zahlungsverhaltens nach Patienten.
- Anspruchsberechtigung von Patienten: Überprüfung der Versicherungsansprüche und der Anspruchsberechtigung der Patienten bei ihrer Krankenkasse.
- Verwaltung von Versicherungsfällen: Organisieren von Ansprüchen und Einreichung bei den Versicherungsträgern zur Genehmigung.
- Code- und Gebühreneintrag: Zuordnung aller Behandlungen und Dienstleistungen zu Abrechnungscodes und Gebühren.
- Übungsmanagement: Verwaltung wichtiger geschäftlicher Aspekte einer Arztpraxis, wie z. B. die Erfassung der demographischen Daten von Patienten und die Terminplanung.
- Überweisungsbescheid: Dokumentation von Einzelheiten, die von den Versicherungszahlern in Bezug auf Zahlungen, Anpassungen, Ablehnungen und/oder nicht gedeckte Kosten in einem medizinischen Antrag angegeben wurden.
Tipps für den Kauf von Arzt-Abrechnungssoftware
- Integration mit elektronischem Gesundheitsakten-System (EHR) und Praxisverwaltungssoftware: Die Praxis kann sich nicht allein auf die Abrechnungssoftware verlassen, um effizient zu arbeiten. Es wird auch ein EHR und/oder eine vollwertige Praxisverwaltungssoftware benötigt, um eine komplette moderne Gesundheitseinrichtung aufzubauen. Wenn du eine unabhängige Arzt-Abrechnungssoftware suchst, ist es wichtig, dass deine Software in andere Lösungen aus der medizinischen Softwarefamilie integriert werden kann. Dies erspart dir die erneute Eingabe von klinischen und Patientendaten.
- Methode der Softwarebereitstellung: Arzt-Abrechnungssoftware gibt es in verschiedenen Bereitstellungsoptionen: cloudbasiert, selbst gehostet und hybrid. Jedes Bereitstellungsmodell hat seine eigenen Vor- und Nachteile und ein eigenes Preismodell. Für cloudbasierte Arzt-Abrechnungssoftware wird in der Regel eine monatliche Abonnementgebühr erhoben, während die Option der Vor-Ort-Bereitstellung zwar höhere Vorlaufkosten verursacht, sich aber langfristig für größere Unternehmen wie Krankenhäuser und medizinische Einrichtungen mit mehreren Versorgungsketten als wirtschaftlich erweisen kann.
- Sicherheit der Patientendaten: Die medizinischen Unterlagen der Patienten enthalten sensible persönliche Informationen. Wenn du dich für eine Cloud-Hosting-Option entscheidest, ist es wichtig, dass deine Software deine Daten sicher aufbewahrt. Frage die Anbieter, wie und wo deine klinischen Daten gespeichert werden, wer Zugang zu den klinischen Aufzeichnungen hat, welche Sicherheitsstandards verwendet werden, wie die Backup-Richtlinien aussehen und wie lange die Daten aufbewahrt werden.
Relevante Trends in der Arzt-Abrechnungssoftware
- Computergestützte Kodierung (CAC, computer-assisted coding): CAC ist ein Veredelungsprozess, der die natürliche Sprachverarbeitung nutzt, um medizinische Rezepte und Krankenblätter zu lesen und in digitale Textformate zu dekodieren. Die Lösung verfügt über integrierte ICD-10-PCS-, ICD-10-CM- und CPT-Codedatenbanken, die Rezepte in allgemein akzeptierte Codes umwandeln, die zu Rechnungen hinzugefügt und zur Genehmigung an Versicherungsanbieter gesendet werden können. Dies wird die medizinische Praxis vereinheitlichen und Abrechnungsfehler aufgrund falscher Kodierung eliminieren. Angesichts der Notwendigkeit der Einheitlichkeit der Kodierungen in den verschiedenen Praxen wird die meiste Arzt-Abrechnungssoftware beginnen, eine integrierte CAC-Funktionalität in ihrer Lösung anzubieten. Gartner prognostiziert, dass Krankenhäuser, die CAC in ihrem medizinischen Abrechnungsprozess nutzen, eine um mindestens 20 % höhere Kapitalrendite erzielen werden als die anderen (vollständige Untersuchungen stehen Gartner-Kunden zur Verfügung).
- Künstliche Intelligenz (KI) und Blockchain werden den Abrechnungsprozess revolutionieren: Die Akzeptanz von Blockchain nimmt in vielen Märkten zu und wird bis 2026 voraussichtlich bis zu 5,5 Milliarden im Gesundheitsmarkt erreichen. Blockchain kann eine Schlüsseltechnologie für die Sicherung von Krankenakten sowie für die Verbesserung der Effizienz des Datenaustauschs zwischen Patienten, Praxen und Versicherungen sein. Blockchain wird es einfach machen, die Krankengeschichte von Patienten sicher aufzuzeichnen und sie mit anderen Einrichtungen zu teilen. Versicherungsgesellschaften werden die KI nutzen, um große Datensätze der Krankenakten von Patienten, ihre früheren Ansprüche, die für die Abrechnung verwendeten Codes und andere Datenpunkte zu analysieren. Dies kann ihnen helfen, geschäftsrelevante Erkenntnisse zu gewinnen und ein Muster zwischen dem Gesundheitszustand der Patienten, der Art der Behandlung und den Kosten der Behandlung zu erstellen. Solche Einblicke können Versicherungsgesellschaften helfen, Fehler in Ansprüchen hervorzuheben oder sogar betrügerische Aktivitäten zu erkennen.